VisionTestCost.com is an independent price comparison resource. One labelled affiliate link (VSP individual vision plans) can earn us a commission; it never changes a price. Most US optical chains publish no exam price at all, so a figure here is either a published price or a reported range, and the provider pages say which.
CMS NPI registry, October 2026

US Eye Doctor Directory: 45,253 Optometry and Ophthalmology Practices

Every organization in the October 2026 CMS national provider file whose primary registered specialty is optometry or ophthalmology, grouped by state and metro area. That is 34,512 optometry practices and 10,741 ophthalmology practices across 55 states and territories, 7,427 cities and 908 metro areas. The registry carries no prices, so each page pairs the records with the exam price ranges this site already publishes.

Read this first: an NPI is a billing identifier, not a license. CMS does not check whether the holder is licensed or credentialed, and practices update their own details, so 25,814 of these records (57 percent) have not been touched since before 2020. Use the last-updated date shown on every listing, and call before you travel.

Registered practices
45,253
5,518 with a full profile page
Optometry
34,512
76% of all records
Ophthalmology
10,741
24% of all records
Metro areas
908
55 states and territories
Updated since 2024
18%
8,366 records refreshed by the practice

What an eye exam costs at practices like these

Nothing in the NPI registry is a price. The figure to hold onto is $95: the median starting exam fee across the 1,280 US retail optical stores that print one on their own store pages, middle half $80 to $120, read 30 September 2026. Medicare pays $149.64 for the same comprehensive exam for a new patient (CPT 92004), which is the only national eye-exam price anybody publishes.

The practices in this directory are mostly independent, and independent optometry is reported at $120 to $200 and ophthalmology at $150 to $300 or more, against retail optical at $50 to $110. Those three are consumer-reported bands, not published prices, so they describe the shape of the market rather than what any one practice charges. Which cluster a practice sits in matters far more than the state it is in.

How the directory is built

The source is the CMS National Plan and Provider Enumeration System, the federal register of NPI numbers, published monthly as a bulk file. We stream the October 2026 file and keep organization records (NPI entity type 2) whose primary taxonomy code sits in the optometry family (152W) or the ophthalmology family (207W). Individual practitioners hold entity type 1 records and are excluded outright, so no person appears in this directory as a listing.

Addresses are matched against the US Census geocoder, which returns the county, and counties map to metro areas using the Census 2023 delineation file. That is why the geography here is metro areas rather than ZIP codes: a ZIP code is a mail route, not a place people search for. Records that match to a street address keep those coordinates; the rest fall back to a ZIP centroid and are flagged as such on their metro page.

A practice gets its own page only when the record can carry one. The rule is deliberately strict: a street address match, a listed phone number, a record the practice updated in 2022 or later, at least one depth signal (a registered trading name, more than one registered specialty, or a named parent organization), a metro area with at least 3 practices to compare against, and at least 3 neighbors within 25 miles. 5,518 records clear it, 12 percent of the file. Everything else is listed in full on the metro or state page. Half-empty pages help nobody, and the freshness cutoff tightens automatically if a future refresh would push the page count past 9,000.

Registered specialties

Most practices register the base optometry or ophthalmology code. 1,818 records register a subspecialty as their primary code instead, which is the clearest signal in the registry of what a practice actually concentrates on.

SpecialtyNUCC codePracticesFamily
Optometrist152W00000X35,006Optometry
Ophthalmology207W00000X10,601Ophthalmology
Optometrist, Corneal and Contact Management152WC0802X1,326Optometry
Optometrist, Vision Therapy152WV0400X666Optometry
Optometrist, Pediatrics152WP0200X580Optometry
Ophthalmology, Retina Specialist207WX0107X506Ophthalmology
Optometrist, Low Vision Rehabilitation152WL0500X405Optometry
Optometrist, Sports Vision152WS0006X315Optometry
Optometrist, Occupational Vision152WX0102X269Optometry
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery207WX0200X206Ophthalmology
Ophthalmology, Glaucoma Specialist207WX0009X133Ophthalmology
Ophthalmology, Cornea and External Diseases Specialist207WX0120X110Ophthalmology
Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist207WX0110X96Ophthalmology
Ophthalmology, Uveitis and Ocular Inflammatory Disease207WX0108X40Ophthalmology
Ophthalmology, Neuro-ophthalmology207WX0109X33Ophthalmology

Counts include every position on the record, so a practice registering both optometry and ophthalmology appears in both rows. Specialty names are the NUCC health care provider taxonomy descriptions.

Practices by state

California (4,669), Texas (3,805) and Florida (3,423) hold the largest registered counts. The optometry share varies widely: it is the routine-exam side of the market, so a state with a high ophthalmology share is usually one with large physician groups rather than one short of optometrists.

StatePracticesOptometryOphthalmologyMetro areasCities
Alabama73560513024130
Alaska12110219422
Arizona8746712031067
Arkansas4623837919113
California4,6693,3101,35932486
Colorado1,07786521217111
Connecticut5454111345116
Delaware1227745319
District of Columbia82532911
Florida3,4232,49992427307
Georgia1,26098827232186
Hawaii25517382428
Idaho295243521658
Illinois1,7931,44434927335
Indiana1,12289422838163
Iowa4844345022147
Kansas5394746518120
Kentucky59744015724133
Louisiana4322791531685
Maine17113338474
Maryland99464734710140
Massachusetts9306572739218
Michigan1,5591,21834134301
Minnesota6255319420196
Mississippi395309862199
Missouri74460813623169
Montana15613224740
Nebraska338295431279
Nevada47638690829
New Hampshire15813226651
New Jersey1,3569334236322
New Mexico198158401440
New York2,8461,90194527398
North Carolina1,2761,00027635210
North Dakota13511718734
Ohio1,6471,28536242328
Oklahoma65453711720117
Oregon5003781221787
Pennsylvania1,7601,28947136428
Puerto Rico400284116870
Rhode Island15111239135
South Carolina66451614815108
South Dakota152126261128
Tennessee84168016125140
Texas3,8053,07872750351
US Virgin Islands148605
Utah388298901083
Vermont816219526
Virginia1,09783825915155
Washington90874416421142
West Virginia247191561467
Wisconsin58848710127198
Wyoming1059411928

Largest metro areas

Metro areas are Census core based statistical areas. Where a metro crosses a state line, each state side has its own page so the address on the page matches the state in the URL.

Metro areaStatePracticesOptometryOphthalmology
New York-Newark-Jersey CityNew York2,1761,457719
Los Angeles-Long Beach-AnaheimCalifornia1,8761,249627
Chicago-Naperville-ElginIllinois1,3211,038283
Miami-Fort Lauderdale-West Palm BeachFlorida1,229907322
Dallas-Fort Worth-ArlingtonTexas1,160959201
Houston-Pasadena-The WoodlandsTexas1,122958164
New York-Newark-Jersey CityNew Jersey1,029722307
Atlanta-Sandy Springs-RoswellGeorgia804636168
Detroit-Warren-DearbornMichigan658469189
Boston-Cambridge-NewtonMassachusetts632447185
Phoenix-Mesa-ChandlerArizona613495118
Philadelphia-Camden-WilmingtonPennsylvania590421169
San Francisco-Oakland-FremontCalifornia545388157
Tampa-St. Petersburg-ClearwaterFlorida536381155
Seattle-Tacoma-BellevueWashington508408100
Baltimore-Columbia-TowsonMaryland499317182
Denver-Aurora-CentennialColorado491385106
Washington-Arlington-AlexandriaVirginia457326131
San Diego-Chula Vista-CarlsbadCalifornia446308138
Riverside-San Bernardino-OntarioCalifornia43834989
PittsburghPennsylvania39631581
Washington-Arlington-AlexandriaMaryland378241137
Austin-Round Rock-San MarcosTexas37629977
Indianapolis-Carmel-GreenwoodIndiana37530570

Territories below the page threshold

Guam (6) and Northern Mariana Islands (1) hold fewer than 10 registered practices between them, which is not enough to aggregate into a page worth reading. Their records are listed here in full instead.

PracticeCityTerritoryRegistered asPhone on record
Vision Express, USA, IncDededoGuamOptometry(671) 633-3937
Pacific Eye CenterDededoGuamOptometry(671) 637-9889
Eye Care GuamSinajanaGuamOphthalmology(671) 988-3937
Island Eye InstituteTamuningGuamOphthalmology(671) 647-5381
Retina Center of Guam, LLCTamuningGuamOphthalmology(808) 533-7400
Timothy P Brady DDS PCTamuningGuamOptometry(671) 646-8462
Marianas Eye Institute IncSaipanNorthern Mariana IslandsOphthalmology(670) 235-9090

Retail optical brands in the registry

Some retail chains register each store as its own organization NPI, so they are countable. These counts are records whose legal name or registered trading name contains the brand itself, which is why they are lower than the number of storefronts a chain operates: many stores bill through a regional company name instead. Each brand links to the price page for it on this site.

BrandRegistry recordsPrice guide
MyEyeDr1,199MyEyeDr eye exam cost
America's Best451America's Best eye exam cost
Pearle Vision231Pearle Vision eye exam cost
Visionworks48Visionworks eye exam cost
Walmart Vision Center13Walmart Vision Center eye exam cost
Eyemart Express5Eyemart Express eye exam cost
LensCrafters4LensCrafters eye exam cost
Stanton Optical4Stanton Optical eye exam cost
Target Optical1Target Optical eye exam cost
Costco Optical1Costco Optical eye exam cost

Questions

How many eye care practices are there in the United States?

The October 2026 CMS NPI file lists 45,253 organizations whose primary registered specialty is optometry or ophthalmology: 34,512 optometry practices (76 percent) and 10,741 ophthalmology practices (24 percent). That count covers group practices, professional corporations and retail optical companies registered as organizations. It does not count individual optometrists and ophthalmologists, who hold their own separate NPI numbers and are never listed here.

Does an NPI mean the practice is licensed?

No. An NPI is a billing identifier issued by the Centers for Medicare and Medicaid Services so a provider can be identified in health care transactions. CMS states plainly that issuing an NPI does not ensure or validate that the holder is licensed or credentialed. State optometry and medical boards hold the licensing records. Treat this directory as a registry index, not a stamp of approval.

How current are the phone numbers and addresses?

They are as current as each practice chose to make them. NPI records are self-reported and updated by the practice, not by CMS. In this snapshot 8,366 records (18 percent) were updated in 2024 or later, while 25,814 (57 percent) have not been touched since before 2020. Every page here shows the record's own last-updated date so you can judge it. Call ahead before traveling.

What does an eye exam cost at these practices?

The registry holds no prices at all, so nothing on these pages is a quote. The nearest published figure is $95, the median starting exam fee across the 1,280 US retail optical stores that print one on their own store pages (30 September 2026), with the middle half at $80 to $120. Medicare pays $149.64 for a comprehensive new-patient exam (CPT 92004). The practices listed here are mostly independent, and independent optometry is reported at $120 to $200 and ophthalmology at $150 to $300 or more, which are consumer-reported bands rather than published prices. Ask for the self-pay price when you call.

What is the difference between the optometry and ophthalmology listings?

Optometry practices (NUCC code family 152W) provide routine eye exams, refractions, contact lens fitting and primary eye care. Ophthalmology practices (family 207W) are physician practices that also handle surgery and disease management, including the retina, glaucoma, cornea and oculoplastic subspecialties. Each record here is grouped by the specialty the practice itself registered as primary.

Why do some practices have their own page and others appear only in a table?

A practice gets its own page only when the registry record can support one: a street address matched by the Census geocoder, a listed phone, a record the practice updated in 2022 or later, extra depth such as a registered trading name or more than one registered specialty, and at least 3 other practices within 25 miles to compare it with. 5,518 of 45,253 records clear that bar. The rest are listed in full on their metro or state page instead, which keeps this directory from turning into thousands of near-identical pages.

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Source and provenance. CMS National Plan and Provider Enumeration System (NPPES), NPI data dissemination file, August 2026 (October 2026, published October 2026 file). CMS NPI downloadable files. Licence: US federal public data, FOIA-disclosable, no charge; CMS deactivated-NPI display guidance honoured. NPI registry records from the CMS NPPES monthly file. An NPI is a billing identifier, not a licence: CMS does not verify that the holder is licensed or credentialed. Registry contact details are self-reported and are often years out of date. This directory lists organizations only. Individual practitioner records are never published here.

Site updated 2026-10-25